Asthma and the new anti-smoking legislation. What has changed?

Areias, Ágata; Duarte, Joao N.; Figueiredo, Joana; Lucas, Rita; Matos, Inês; Pires, João; Fonseca, Ana Glória; Castanheira, José Luís

doi:10.1016/s2173-5115(09)70086-7

Cited by 7 publications

(4 citation statements)

References 21 publications

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“…A study published using Portuguese data on asthma [ 12 ] demonstrated that at least 39.6% of the sample described positive changes such as improvement of daily life activities performance, decrease in symptoms or lesser recourse to SOS medication, after the implementation of the law. From this group, 81.6% reported that since the implementation of the law, they were no longer exposed to secondhand smoke.…”

Section: Discussionmentioning

confidence: 99%

“…Portugal was one of the countries that signed the WHO Framework Convention on Tobacco Control [ 10 ], leading to the implementation of the most recent antismoking measure, the 37/2007 legislation implemented in January 2008 [ 11 ]. This legislation contained new framework to protect individuals from passive smoking and to encourage cutting down/stopping tobacco consumption to ensure protection against secondhand smoke [ 11 , 12 ]. This law banned smoking in all enclosed public places, such as hospitals, public transportations, and workplaces.…”

Section: Introductionmentioning

confidence: 99%

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Longitudinal Impact of the Smoking Ban Legislation in Acute Coronary Syndrome Admissions

Abreu

Sousa

Dias

et al. 2017

BioMed Research International

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Background and Purpose. The association between smoking and CV has been proved; however smoking is still the first preventable cause of death in the EU. We aim to evaluate the potential impact of the smoke ban on the number of ACS events in the Portuguese population. In addition, we evaluate the longitudinal effects of the smoking ban several years after its implementation. Methods. We analyzed the admission rate for ACS before and after the ban using data from hospital admission. Monthly crude rate was computed, using the Portuguese population as the denominator. Data concerning the proportion of smokers among ACS patients were obtained from the NRACS. Interrupted time series were used to assess changes over time. Results. A decline of −5.8% was found for ACS crude rate after the smoking ban. The decreasing trend was observed even after years since the law. The effect of the ban was higher in men and for people over 65 years. The most significant reduction of ACS rate was found in Lisbon. Conclusions. Our results suggest that smoking ban is related to a decline in ACS admissions, supporting the importance of smoke legislation as a public health measure, contributing to the reduction of ACS rate.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Longitudinal Impact of the Smoking Ban Legislation in Acute Coronary Syndrome Admissions

Abreu

Sousa

Dias

et al. 2017

BioMed Research International

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“…Fighting for breath survey conducted by European Federation of Allergy and Airways Diseases Patients' Associations (EFA) between 2004 and 2005 reported that passive smoking was considered as one of the major reasons for poor quality of life in patients with severe asthma [66,80,83]. Though various steps have been taken to improve the quality of life of asthma patients including implementation of laws banning smoking in public spaces [84], our survey fi ndings show that smoking still prevails in patients with asthma resulting in poor QoL. Therefore, there is an urgent need to revisit treatment strategies, integration of smoking cessation strategies into asthma care and introduce new treatments for effective management of disease and better quality of life in these patients.…”

Section: Contribution Of Smoking To Asthma Control and Psychological mentioning

confidence: 99%

Smoking asthmatics, a neglected large phenotype of asthmatic patients

Κatsaounou¹,

Ioannou²,

Hyland³

et al. 2019

Open J Asthma

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Introduction: Smoking in asthma patients is an important factor contributing to worsened control of asthma. Despite increased awareness of the harmful effects of smoking in patients with asthma, a signifi cant proportion of asthmatics remain smokers. Here, we present fi ndings from the Still Fighting for Breath global survey regarding the prevalence of smoking in patients with severe asthma, impact of smoking on asthma control and correlation of smoking with different aspects of quality of life in patients with severe persistent asthma. Methods: This online survey conducted by GfK Switzerland in 2016 collected data from 1333 adults (>18 years) and caregivers of children (6-17 years) with severe persistent asthma in 9 countries. Results: Our results showed that smoking was common in asthma patients with 46% of adult patients either current smoker (20%), ex-smoker (24%) or e-cigarette smokers (2%).The proportion of patients with asthma who were current smokers/ ex-smokers or e-cigarette smokers was higher than in the general population in many countries. Overall, 63% of adult patients avoided smoky premises; however, 20% of adults were active smokers .Current smokers with asthma were signifi cantly more frequently diagnosed with anxiety (47%) and depression (41%) than non-smokers (40% and 27%, respectively) and ex-smokers (42% and 28%, respectively). A positive correlation was observed between the number of days that patients with severe asthma used OCS and asthma control according to both the Global Initiative for Asthma (GINA)defi ned control (Spearman's rho=0.24, P<0.001) and patient-perceived control (Spearman's rho=0.13, P< 0.001). Conclusion: This survey shows a high prevalence of smoking in patients with severe persistent asthma. Smoking was associated with increased risk of anxiety/depression and show slight increase in use of oral corticosteroid in these patients. These highlight the need for improved strategies for better management of the disease in smokers with severe persistent asthma.

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“…These laws also lead to lower teen smoking rates (Farkas, Gilpin, White, & Pierce, 2000; Siegel, Albers, Cheng, Biener, & Rigotti, 2005) and greater adult smokers’ quit attempts and cessation success (Bauer, Hyland, Li, Steger, & Cummings, 2005; Fong et al, 2006; Moskowitz, Lin, & Hudes, 2000). Reductions in myocardial infarction (Institute of Medicine, 2010; Meyers, Neuberger, & He, 2009) and asthma exacerbations (Areias et al, 2009; Rayens et al, 2008) are also observed after enactment of comprehensive smoke-free laws.…”

Section: Introductionmentioning

confidence: 99%

Political Climate and Smoke-Free Laws in Rural Kentucky Communities

Rayens

York

Adkins

et al. 2012

Policy, Politics, & Nursing Practice

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The purpose was to determine factors associated with rural communities’ political readiness to enact smoke-free laws. Data from baseline assessment of a longitudinal intervention study to promote smoke-free policy in rural Kentucky communities; key informants (n=144) and elected officials (n=83) from 29 counties participated in cross-sectional telephone interviews. Controlling for population size and county-level smoking rate, the following factors predicted elected officials’ perception of the likelihood of a local smoke-free law passing in the next 12 months: 1) support from the local board of health; 2) support from local leaders; and 3) smoke-free hospitals. Communities with lower adult smoking prevalence were more ready for smoke-free laws. Rural health advocates can increase political readiness for smoke-free laws by educating and engaging Board of Health members and local leaders, promoting the voluntary adoption of smoke-free policies in rural hospitals, and investing in effective population-based approaches to evidence-based tobacco treatment in rural communities.

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Asthma and the new anti-smoking legislation. What has changed?

Cited by 7 publications

References 21 publications

Longitudinal Impact of the Smoking Ban Legislation in Acute Coronary Syndrome Admissions

Longitudinal Impact of the Smoking Ban Legislation in Acute Coronary Syndrome Admissions

Smoking asthmatics, a neglected large phenotype of asthmatic patients

Political Climate and Smoke-Free Laws in Rural Kentucky Communities

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